Autoplasty by Displaced Aponeurotic Flap: Results of a New Method of Inguinal Hernias Surgical Treatment

AIM: A new surgical method of non-tension autoplasty by displaced aponeurotic flap for the treatment of uncomplicated inguinal hernias has been developed. METHODS: Thirty patients were operated on using a new method of autoplasty; the comparison group involved 30 patients which were operated on by Liechtenstein hernioplasty using a partially absorbable mesh implant (UltraPro). The effectiveness of the methods was evaluated by clinical data, instrumental research methods (ultrasound examination, and computed tomography [CT]), and results of life quality. RESULTS: There were no relapse cases in both groups in the early and long-term after surgery. According to ultrasound, inflammatory infiltrate was absent in the group using a new autoplasty method, subclinical seromas resolved earlier after surgery. According to data of compression elastography and CT, the formation of a denser scar in the postoperative area was registered in the comparison group with a statistically significant difference. The feeling of discomfort and pain in the study group was more pronounced in the early post-operative period in comparison with the group using a mesh implant. However, in later terms, the life quality of patients in the group using a new autoplasty method improved with a statistically significant difference. CONCLUSION: The operation method is simple to perform, does not require the use of an endoprosthesis or extensive dissection of tissues and can be a reliable alternative and compete with prosthetic methods of hernioplasty

International Medical Cooperation for the Radiation Exposed Population (Hibakusha) in Semipalatinsk, Kazakhstan : A Challenge from Hiroshima, the City of the World's First Atomic Bombing 【Report】

The main objective of this report is to describe the activities of a non-governmental organization(NGO), the Hiroshima Semipalatinsk Project (hereafter the Hiro-Semi Project or the Project), that sup-ports medical aid to those who were exposed to radiation from the nuclear bomb tests in Kazakhstan.The Project has carried out medical cooperation activities five times and dispatched medical missions ofdoctors, nurses, and medical technicians four times. In this report, we attempt to show the purpose of the foundation of the Hiro-Semi Project. In addition, we show the final goal of the Project. We also reporton the medical activities of the Hiro-Semi Project and touch upon the medical items provided by theHiro-Semi Project and the medical examinations from the medical missions sent by the Project. As isgenerally known, medical cooperation is an important part of international cooperation. For example,the activities of Medecins Sans Frontieres Japonand The Association of Medical Doctors of Asia arewell known. It is possible for those who are not medical doctors to conduct medical cooperation. In fact,the Hiro-Semi Project plans and conducts medical aid and dispatches medical missions. The mostimportant matter is to establish a strong cooperative relationship with specialists or experts in that field.The Hiro-Semi Project endeavors to establish such a relationship. As people concerned with internation-al cooperation, we should pay more attention to the activities of medical cooperation done by grass rootsmovements, keeping in mind that there are many approaches to international cooperation. This reportwill outline one approach and one possibility of international cooperation

Nuclear abnormalities in aspirated thyroid cells and chromosome aberrations in lymphocytes of residents near the Semipalatinsk Nuclear Test Site

Chromosomal studies in peripheral lymphocytes from 63 residents near the Semipalatinsk nuclear test site, at ages of 52–63 years old, were performed in 2001–2002. A higher rate of chromosome aberrations was observed in the two contaminated villages, Dolon and Sarjal, compared with the control village, Kokpekti. Moreover, a relationship of frequency of cells with radiation induced chromosome aberrations and the previously estimated exposure dose was observed. Furthermore, apparent nuclear abnormalities (ANA) of thyroid follicular cells were studied in 30 out of 63 residents, who were examined for chromosome aberrations. A higher rate of ANA was also found in the residents in the exposed villages compared with those in the control village. These results suggest radiation effects both on the chromosomes in peripheral lymphocytes and on the follicular cells in the thyroid

Nuclear abnormalities in aspirated thyroid cells and chromosome aberrations in lymphocytes of residents near the Semipalatinsk Nuclear Test Site

Chromosomal studies in peripheral lymphocytes from 63 residents near the Semipalatinsk nuclear test site, at ages of 52–63 years old, were performed in 2001–2002. A higher rate of chromosome aberrations was observed in the two contaminated villages, Dolon and Sarjal, compared with the control village, Kokpekti. Moreover, a relationship of frequency of cells with radiation induced chromosome aberrations and the previously estimated exposure dose was observed. Furthermore, apparent nuclear abnormalities (ANA) of thyroid follicular cells were studied in 30 out of 63 residents, who were examined for chromosome aberrations. A higher rate of ANA was also found in the residents in the exposed villages compared with those in the control village. These results suggest radiation effects both on the chromosomes in peripheral lymphocytes and on the follicular cells in the thyroid

Obstructive jaundice syndrome of benign genesis and its surgical treatment

Introduction: Obstructive jaundice in surgical hospitals is relatively common (2.6-23.7%). And it is one of the leader in the liver failure development with the severe homeostasis disorders appearanced. So, the analysis of the results of improving the surgical treatment of obstructive jaundice syndrome of benign genesis has been conducted from 2015 to 2019. Materials and Methods: The results of surgical treatment of 142 patients with cholelithiasis (gallstone disease) complicated by obstructive jaundice of benign genesis were analyzed: 95 females (66.9%) and 47 (33.1%) male patients. Patients were divided into two groups (experimental and control) according to the surgery method was used. Results: 5 complications (7.2%) and in 5 patients (7.2%) were fixed in the experimental group. However, only in a single complication was the II degree of severity according to the Clavien-Dindo classification. Control group had more complications cases: 18 (24.7%) in 13 patients (17.8%) ‑ (χ2=7.922, p=0.005). Mortality rate was also different: absent in the main group and 4 cases (5.5%) in the control one because of hepatic-renal failure against the background of severe intoxication (2 cases), massive pulmonary embolism (1 case), and disseminated intravascular coagulation syndrome (1 case)

Adequate measures to prevent medical personnel from contracting COVID-19 should be promptly implemented: support from numerous agencies is needed

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Changes in university classes as COVID-19 continues and new findings regarding future university instruction methods: from the perspective of Japan and Semey, Republic of Kazakhstan

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